Thanks for your interest in becoming a mentor with Young Women Empowered (Y-WE). When you get involved with Y-WE, you join a high-spirited, intergenerational, and multicultural community of youth ages 13 and up who are dedicated to building a positive future for themselves and the world.

Please look over the application below and prepare to complete and submit it in one session. You WILL NOT be able to save the form mid-way through. We apologize for any inconvenience.

Name

*

First Name

Last Name

Preferred Name (if different than name listed)

Gender Prounoun

She/Her, They/Them, He/Him, etc.

Which program(s) are you applying to mentor for?

*

Y-WE Create: July 15th-20th

Y-WE Write: August 13th-19th (12th-19th for Mentors)

Age

*

Birthdate

*

(mm/dd/yyyy)

Email

*

Please upload a picture of yourself

*

Primary Phone Number

*

Additional Contact Number

Home Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Mailing Address (if different)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Employer/School

Job Title/Position/Year in School

College(s) Attended

Are you a veteran?

*

Yes

No

Do you identify as a person of color? (optional)

Yes

No

Ethnicity/Culture/Race

*

Are you fluent in English?

*

Yes

No

Please list any other languages you speak fluently

Dietary preferences (check all that apply)

*

I eat everything!

Vegetarian

Vegan

Pork free

Dairy free

Gluten free

Other

If you selected "other" please explain:

How will you get to our program?

*

Drive Myself

Friend or family member will drive me

Public Transport

I need transportation support

If you are able to drive or get a ride, are you able to pick up youth and mentors who need transport?

Yes

No

Number of seats available in your vehicle

Emergency Contact Information

#1 Name of Emergency Contact

*

First Name

Last Name

#1 Emergency Contact Phone

*

#1 Relationship to You

*

#2 Name of Emergency Contact

*

First Name

Last Name

#2 Emergency Contact Phone

*

#2 Relationship to You

*

If you have any safety or medical concerns which will affect your ability to participate in specific activities during our programs, please tell us about them:

Are there any accommodations you need regarding physical space, allergies, environmental sensitivities, etc.?

YWE is dedicated to creating inclusive spaces and
programs for all, including people with disabilities and specific accommodation needs.

Mentor's Personal Information

Your answers to these questions help us to get to know you better and understand what inspired you to apply to be a mentor at Y-WE. We shape our programs around the passions and goals of the mentors and youth who participate--so your answers to these questions really matter to us! This program is here to support YOU and our youth in the best way possible.

How did you learn about Y-WE

*

What do you hope to gain or experience through mentoring in Y-WE’s programs? What are some of your personal goals?

*

Do you have any mentoring or youth work experience? Please describe

*

Special Skills, Talents or Qualifications: These can include arts; business and entrepreneurships skills; healing and self-care practices; nature awareness; college prep; technology, marketing, and media skills; cooking; crafts; sewing; and much more!

*

We at Y-WE primarily have a group mentoring approach, however some participants wish to be mentored one-to-one. Are you open and available to be paired in a one-to-one mentoring relationship?

*

Yes

No

If so, please tell us a bit about your availability to mentor girls one-on-one and the areas you'd like to assist girls with (For example: college essays, SAT prep, cooking, conflict resolution, etc.)

*

Your Commitment to Y-WE:

As a mentor, your consistent attendance is essential! Please check the dates of the program you are applying for to make sure you can attend most of the program. If you have questions about this, please contact us. If mentoring is too large a commitment at this time, consider becoming a Y-WE volunteer. Our many short-term volunteer opportunities also provide meaningful experiences working with the Y-WE community.

I understand the commitment I am making to Y-WE

*

Yes, I commit to attending

Is there anything you would like us to know about you, your schedule, or your commitment to this program?

Scholarship Fund Contribution

Y-WE programs are offered on a sliding scale and the majority of Y-WE youth participants are from low-income families. Some of our mentors have requested the option to sponsor youth participants by contributing to our scholarship fund. The cost of full tuition for one youth in Y-WE Lead or Y-WE Nature Connections is $1,000. The majority of our participants can only afford to pay $25-$150. If you would like to make a donation to our scholarship fund and help ensure that Y-WE youth can continue to have this life-changing experience, we welcome your support. You are under no obligation to contribute, participation is entirely voluntary.

Making a contribution is entirely optional and will have no bearing on your acceptance as a mentor.

Yes, I'd like to contribute

I am not able to contribute at this time

Amount

$500

$250

$100

$50

$25

$

Donation Schedule

References

Please list two non-family members who can comment on your interpersonal, mentoring and/or professional skills.

Reference #1

*

First Name

Last Name

#1 Phone Number

*

#1 Email

*

#1 Relationship to you

*

Reference #2

*

First Name

Last Name

#2 Phone Number

*

#2 Email

*

#2 Relationship to you

*

Thank you so much for applying! If there's anything else you'd like to tell us, please do so here. Thank you!